Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.89 / $180.89 / $1,158.59	Facility		$180.89	$180.89	$1,158.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.38 / $180.89 / $1,158.59	Professional		$142.38	$180.89	$1,158.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $137.36 / $565.88 / $1,274.67	Facility		$137.36	$565.88	$1,274.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $146.91 / $183.43 / $280.08	Professional		$146.91	$183.43	$280.08
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $475.41 / $848.95	Facility		$97.00	$475.41	$848.95
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $532.80 / $1,241.08	Professional		$100.00	$532.80	$1,241.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $187.82 / $188.19 / $214.65	Facility		$187.82	$188.19	$214.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.38 / $137.38 / $200.62	Professional		$137.38	$137.38	$200.62
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $214.65 / $257.58 / $441.72	Professional		$214.65	$257.58	$441.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $240.94 / $281.08 / $622.41	Professional		$240.94	$281.08	$622.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $723.59 / $1,907.41 / $1,907.41	Facility		$723.59	$1,907.41	$1,907.41
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,765.07 / $2,831.45 / $2,831.45	Professional		$2,765.07	$2,831.45	$2,831.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $628.94 / $628.94 / $628.94	Professional		$628.94	$628.94	$628.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $321.97 / $407.39	Facility		$97.00	$321.97	$407.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $137.38 / $188.19 / $298.37	Professional		$137.38	$188.19	$298.37
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $757.93 / $757.93 / $757.93	Professional		$757.93	$757.93	$757.93
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $214.65 / $321.25 / $321.98	Professional		$214.65	$321.25	$321.98
United Facility/Professional Professional Modifier Low / Median / High Price $136.43 / $150.25 / $401.57	Professional		$136.43	$150.25	$401.57